PRESBYTERIAN HOME, INC.
NPI 1336139070
Nursing Facility/Intermediate Care Facility in Quitman, GA

NPI Status: Active since October 25, 2005

Contact Information

1901 W SCREVEN ST
QUITMAN, GA
ZIP 31643
Phone: (229) 263-6100
Fax: (229) 263-6195

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 11D0265685
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About PRESBYTERIAN HOME, INC.

This page provides the complete NPI Profile along with additional information for Presbyterian Home, Inc., a provider established in Quitman, Georgia operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1336139070 assigned on October 2005. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Presbyterian Home, Inc.. The authorized official of this NPI record is Dianne Arrendale Cpa (Cfo)

NPI
1336139070
Provider Legal Name
PRESBYTERIAN HOME, QUITMAN, INC.
Other Organization Name
PRESBYTERIAN HOME, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1901 W SCREVEN ST QUITMAN, GA 31643
Location Phone
(229) 263-6100
Location Fax
(229) 263-6195
Mailing Address
PO BOX 407 QUITMAN, GA 31643
Mailing Phone
(229) 263-6100
Mailing Fax
(229) 263-6195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2005
Last Update Date
08-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANNE ARRENDALE CPA

Authorized Official Title
CFO
Authorized Official Phone
(229) 263-6193

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00142579AMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0265685
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
B WALTER ROMINE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Presbyterian Home, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRESBYTERIAN HOME, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336139070, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 2 + 3 + 1 + 8 + 0 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1336139070.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pharmacist
1901 W SCREVEN ST
QUITMAN, GA 31643
Physical Medicine & Rehabilitation
1901 W SCREVEN ST
QUITMAN, GA 31643
Occupational Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Physical Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Physical Therapist
1901 W SCREVEN ST
QUITMAN, GA 31643
Occupational Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Occupational Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Physical Therapist
1901 W SCREVEN ST
QUITMAN, GA 31643
Physical Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Pharmacy (Long Term Care Pharmacy)
1901 W SCREVEN ST
QUITMAN, GA 31643
Nurse Practitioner (Family)
1901 W SCREVEN ST
QUITMAN, GA 31643
General Acute Care Hospital (Critical Access)
1901 W SCREVEN ST
QUITMAN, GA 31643

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336139070, enumerated as an "organization" on October 25, 2005.

The provider is located at 1901 W SCREVEN ST QUITMAN, GA 31643 and the phone number is (229) 263-6100.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.